Humana Gold Plus H5619-119 (HMO)
Humana · HMO · 2027 coverage
The big numbers
The plan premium is on top of your Part B premium.
- Monthly premium
- $0
- Most you pay in a year for covered care in network
- $800
- Lower than most plans here
- Drug deductible
- $700
- Tied for highest here
- Medicare star rating
- No rating yet
In plain English
Compared with the 7 other plans in San Luis Obispo County that the same person could join.
What stands out
- No monthly premium
- At most $800 a year for covered care, lower than most plans here
- $0 for a 5-day hospital stay, tied for lowest here
- Dental: plan pays up to $1,000 a year, more than most plans here
Watch out for
- $65 for urgent care, tied for highest here
- $700 drug deductible, tied for highest here
- You need a referral to see a specialist
- Covers only the plan’s own doctors and hospitals, except in an emergency or for urgent care
What a year could cost
Premiums plus the plan’s copays for three example years. Medicines are not included.
- A light year$0$0 in premiums + $0 for care2 checkups and 2 lab tests.
- A busier year$210$0 in premiums + $210 for careHigher than most plans here4 checkups, 4 specialist visits, 4 lab tests, 1 X-ray and 1 urgent care visit.Uses the highest listed cost for: X-rays.
- A hard year$800$0 in premiums + $800 for care6 checkups, 12 specialist visits, 6 lab tests, 2 scans, an ambulance ride, an ER visit and a 5-day hospital stay.Stops at the plan’s yearly limit.Uses the highest listed cost for: MRI, CT and other scans.
The visit counts are examples we chose to show how costs add up, not a prediction. Your costs depend on the care you get.
What you pay for care
Your cost each time, at doctors and hospitals in the plan’s network.
- Primary care visit$0
- Specialist visit$0Referral neededPlan approval may be needed
- Urgent care$65Tied for highest here
- Emergency room$150Not charged if you stay in the hospital within 24 hours
- Hospital stay$0 per stayTied for lowest hereReferral neededPlan approval may be needed
- Lab tests$0Referral neededPlan approval may be needed
More care: surgery, X-rays, scans, ambulance, nursing home
- Outpatient surgery center$0Tied for lowest hereReferral neededPlan approval may be needed
- Outpatient hospital care$0 to $35Depends on the service
- X-rays$0 to $145Depends on the serviceReferral neededPlan approval may be needed
- MRI, CT and other scans$0 to $345Depends on the serviceReferral neededPlan approval may be needed
- Ground ambulance$325Tied for highest herePlan approval may be needed
- Skilled nursing facility$20 a day for days 1 to 20, then $221 a day for days 21 to 100Referral neededPlan approval may be needed
From the costs the plan filed with Medicare for 2027. A range like “$0 to $100” means the cost depends on the service or the place. “Lower than most” compares this plan with the 7 other plans in San Luis Obispo County that the same person could join. Read the plan’s 2027 booklet (PDF)
What medicines cost
| Drug tier | Network pharmacy |
|---|---|
| 1Preferred Generic | $0 |
| 2Generic | $0 |
| 3Preferred Brand | 17% of the price |
| 4Non-Preferred DrugAfter the deductible | 50% of the price |
| 5Specialty TierAfter the deductible | 25% of the price |
For a 1-month supply. The $700 drug deductible applies only to the tiers marked. Covered insulin costs at most $35 for a month’s supply. Your medicine’s tier is on the plan’s drug list; check it below.
Check my medicines
See if this plan covers each medicine you take in 2027, and what a month costs.
Type the name on the bottle. Add the strength to narrow it down.
Add each medicine once. We’ll show if this plan covers it, what a month costs, and any rules.
Extras
Help Original Medicare doesn’t give you.
- Dental IncludedCleanings and exams: $0. Fillings, crowns and dentures: you pay 0% to 30%.Cleanings and exams: plan pays up to $1,000 a year. Plan pays up to $1,000 a year for all dental.
- Vision IncludedYearly eye exam: $0. Glasses or contacts covered.Eyewear: plan pays up to $100 a year.
- Hearing IncludedHearing test: $0. Hearing aids covered.
- Over-the-counter items IncludedCovered for things like vitamins, pain relief and bandages.
- Fitness Not included
- Rides to care Not included
What changed from 2026
- Most you pay in a year2026$7202027$800
- Drug deductible2026$6152027$700
- Lab tests2026$0 to $652027$0
- X-rays2026$0 to $652027$0 to $145
- MRI, CT and other scans2026$0 to $3002027$0 to $345
- Ground ambulance2026$3352027$325
- Skilled nursing facility2026$20 a day for days 1 to 20, then $218 a day for days 21 to 1002027$20 a day for days 1 to 20, then $221 a day for days 21 to 100
- Dental2026Cleanings and exams: $0. Fillings, crowns and dentures covered. Cleanings and exams: plan pays up to $1,250 a year. Plan pays up to $1,250 a year for all dental2027Cleanings and exams: $0. Fillings, crowns and dentures: you pay 0% to 30%. Cleanings and exams: plan pays up to $1,000 a year. Plan pays up to $1,000 a year for all dental
- Vision2026Yearly eye exam: $0. Glasses or contacts covered. Eyewear: plan pays up to $250 a year2027Yearly eye exam: $0. Glasses or contacts covered. Eyewear: plan pays up to $100 a year
Is my doctor in this plan?
Look up your doctors, then confirm with their office.
Call each doctor’s office and ask:
“Do you take Humana Gold Plus H5619-119 (HMO), plan number H5619-119, for 2027?”